Active NPI
Erin Frances Gordon Johnson
- Internal Medicine Physician
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A144679
- Practice address
- 4955 Van Nuys Blvd
Sherman Oaks, CA 91403-1801 - Phone
- (818) 325-0200
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A144679 | CA | Primary |
Addresses
Primary practice location
4955 Van Nuys Blvd
Sherman Oaks, CA 91403-1801
Mailing address
16935 Vanowen St Ste a
Lake Balboa, CA 91406-4565
Phone (818) 635-0380
Other practice location 1
501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Calabasas, CA 91302
Phone (818) 230-2116
2625 Townsgate Rd
Suite 330
Westlake Village, CA 91361-5749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144679 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Valley Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403
Phone (818) 325-0200
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Westlake Village, CA
- NPI 1467074963
-
- Hospitalist Physician
- Sherman Oaks, CA
- NPI 1902188022
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1164837571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16935 VANOWEN ST STE A",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914064565",
"telephone_number": "818-635-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031801",
"telephone_number": "818-325-0200"
}
],
"practiceLocations": [
{
"address_1": "501 Madison Ave",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185102401",
"country_code": "US",
"telephone_number": "570-343-2383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON JOHNSON",
"first_name": "ERIN",
"middle_name": "FRANCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A144679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.